大肠癌快速康复术后患者自我管理效能与整体营养状况的相关性分析
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摘要
目的分析大肠癌快速康复术后患者自我管理效能与整体营养状况的相关性。方法采用方便取样的方法,选取70例大肠癌快速康复术后患者,采用一般调查问卷、癌症自我管理效能感量表、患者整体营养状况主观评估量表进行调查。患者自我管理效能与整体营养状况相关性采用Pearson相关分析。结果 70例大肠癌快速康复术后患者自我管理效能总分为(80.55±19.47)分,得分指标63.96%;有2%的患者不需进行营养干预,29%的患者需要营养支持,需要控制营养相关症状和营养支持高达69%。大肠癌快速康复术后患者自我管理效能总分与整体营养状况总分呈密切负相关(r=-0.797,P=0.003)。结论大肠癌快速康复术后患者自我管理效能处于中等水平,整体营养状况水平较低。需提高大肠癌快速康复术后患者自我管理效能水平,有助于调动其疾病治疗积极性,改善自身行为,提高营养水平,促进术后康复。
Objective To explore the correlation between self-management efficiency and nutritional status in colorectal cancer patients after fast track surgery(FTS). Methods Seventy colorectal cancer patients were chosen with convenient sampling, and surveyed by using general information questionnaire, strategies used by people to promote health(SUPPH) and patient-generated subjective global assessment(PG-SGA). Pearson correlation analysis was used to examine the correlation between patient self-management efficacy and overall nutritional status. Results The total score of SUPPH in colorectal cancer patients after surgery was80.55±19.47, with a scoring rate of 63.96%. 2% of patients don't need nutritional intervention, 29% require nutritional support and in this part patients who need to control nutritional-related symptoms and nutritional support was up to 69 %. The score of self-management efficiency had closely negative correlation with the nutritional status in colorectal cancer patients after FTS( r=-0.797,P=0.003). Conclusion The self-management efficiency of colorectal cancer patients is in a moderate level and they have poor of nutritional status in general. The improvement of self-management and nutritional status will benefit promoting patients ' recovery and quality of life.
Objective To explore the correlation between self-management efficiency and nutritional status in colorectal cancer patients after fast track surgery(FTS). Methods Seventy colorectal cancer patients were chosen with convenient sampling, and surveyed by using general information questionnaire, strategies used by people to promote health(SUPPH) and patient-generated subjective global assessment(PG-SGA). Pearson correlation analysis was used to examine the correlation between patient self-management efficacy and overall nutritional status. Results The total score of SUPPH in colorectal cancer patients after surgery was80.55±19.47, with a scoring rate of 63.96%. 2% of patients don't need nutritional intervention, 29% require nutritional support and in this part patients who need to control nutritional-related symptoms and nutritional support was up to 69 %. The score of self-management efficiency had closely negative correlation with the nutritional status in colorectal cancer patients after FTS( r=-0.797,P=0.003). Conclusion The self-management efficiency of colorectal cancer patients is in a moderate level and they have poor of nutritional status in general. The improvement of self-management and nutritional status will benefit promoting patients ' recovery and quality of life.
引文
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[16]罗智鹏,石华伟,薛瑶纯,等.常见恶性肿瘤住院病人营养状态的调查分析[J].肠外与肠内营养,2016,23(3):162-169.
[17]张天燕,刘荣祯,安波.应对方式对癌症患者抑郁情绪和生活质量的影响[J].中国康复理论与实践,2014,20(5):477-480.DOI:10.3969/j.issn.1006-9771.2014.05.021.
[18]Wang X,Wang S S,Peng R J,et al.Interaction of Coping Styles and Psychological Stress on Anxious and Depressive Symptoms in Chinese Breast Cancer Patients[J].Asian Pac J Cancer,2012,13(4):1645-1649.
[19]刘天贶,孙众.咀嚼口香糖对促进腹部手术术后胃肠道功能恢复的应用研究现状[J].护理学报,2014,21(20):27-29.
[20]陈湘威,林金香,杨晋杰,等.多学科合作的营养干预对肠癌化疗病人营养改善的影响[J].全科护理,2017,15(22):2705-2760.DOI:10.3969/j.issn.1674-4748.2017.22.007.
[21]张蓉,林占峰.认知重建和自我效能增强干预对乳腺癌患者心理状况的影响[J].护理研究,2010,24(2B):405-406.DOI:10.3969/j.issn.1009-6493.2010.05.014.
[22]吉冬丽,潭清和,葛晓霞,等.延续性自我管理教育在晚期癌痛患者健康教育中的应用[J].护理管理杂志,2014,14(1):17-19.
[23]Grimmett C,Haviland J,Winter J,et al.Colorectal Cancer Patient’s Self-efficacy for Managing Illness-related Problems in the First 2 Years after Diagnosis,Results from the Colorectal Well-being(CREW)Study[J].J Cancer Surviv,2017(11):634-642.DOI:10.1007/s11764-017-0636-x.
[2]Carli F,Gharlebois P,Stein B,et al.Randomized Clinical Trial of Prehabilitation in Colorectal Surgery[J].S Br Surg,2010,97(8):1187-1197.DOI:10.1002/bjs.7102.
[3]孙悦.围手术期快速康复外科对结肠癌患者康复效果及预后分析[J].实用临床医药杂志,2017,21(4):207-208.DOI:10.7619/jcmp.201704068.
[4]高慧云.快速康复护理对胃癌患者术后康复及生活质量影响[J].护理管理杂志,2017,17(2):129-131.DOI:10.3969/j.issn.1671-315X.2017.02.019.
[5]潘晓虹.快速康复理念在胃肠外科腔镜手术患者围手术期护理中的应用[J].国际护理学杂志,2016,35(10):1364-1365.DOI:10.3760/cma.j.issn.1673-4351.2016.10.024.
[6]莫伟峰,陈建良,张子通,等.快速康复外科理念在普外科腹腔镜结直肠手术中的应用效果[J].中国现代药物应用,2016,10(1):279-280.DOI:10.14164/j.cnki.cn11-5581/r.2016.01.222.
[7]马倩红,颜碧莲,梁颜珍,等.快速康复外科理念在肝胆外科围手术期管理中的应用[J].国际护理学杂志,2017,36(2):253-255.DOI:10.3760/cma.j.issn.1673-4351.2017.02.039.
[8]Lev E L,Owen S V.A Measure of Self-care-efficacy[J].Res Nurs Health,1996,19(5):421-429.
[9]钱会娟,袁长蓉.中文版癌症自我管理效能感量表的信效度测评[J].中华护理杂志,2011,46(1):87-88.DOI:10.3761/j.issn.0254-1769.2011.01.032.
[10]Bauer J,Capra S,Ferguson M.Use of the Scored Patientgenerated Subjective Global Assessment(PG-SGA)as a Nutrition Assessment Tool in Patients with Cancer[J].Eur J Clin Nutr,2002,56(8):779-785.DOI:10.1038/sj.ejcn.1601412.
[11]钱会娟,袁长蓉.消化系统癌症患者自我管理效能水平现状及相关因素分析[J].护士进修杂志,2011,26(8):678-681.DOI:10.3969/j.issn.1002-6975.2011.08.003.
[12]宋开才,王云海,李涛,等.腹腔镜结直肠癌手术患者围手术期应用快速康复外科的系统评价[J].中华胃肠外科杂志,2012,15(10):1048-1052.DOI:10.3760/cma.j.issn.1671-0274.2012.10.017.
[13]陆云,徐桂花,朱勤芬.结肠造口患者癌因性疲乏症状体验与自我管理效能的相关性研究[J].护理学报,2014,21(24):37-39.
[14]黎贵,李峥,薛岚,等.癌症患者身心健康状况与临床决策倾向的相关性研究[J].护理管理杂志,2010,10(6):391-393.DOI:10.3969/j.issn.1671-315X.2010.06.005.
[15]张丽燕,陆宇晗,方玉.消化道恶性肿瘤患者营养状况及相关因素调查[J].护士进修杂志,2013,28(23):2162-2164.
[16]罗智鹏,石华伟,薛瑶纯,等.常见恶性肿瘤住院病人营养状态的调查分析[J].肠外与肠内营养,2016,23(3):162-169.
[17]张天燕,刘荣祯,安波.应对方式对癌症患者抑郁情绪和生活质量的影响[J].中国康复理论与实践,2014,20(5):477-480.DOI:10.3969/j.issn.1006-9771.2014.05.021.
[18]Wang X,Wang S S,Peng R J,et al.Interaction of Coping Styles and Psychological Stress on Anxious and Depressive Symptoms in Chinese Breast Cancer Patients[J].Asian Pac J Cancer,2012,13(4):1645-1649.
[19]刘天贶,孙众.咀嚼口香糖对促进腹部手术术后胃肠道功能恢复的应用研究现状[J].护理学报,2014,21(20):27-29.
[20]陈湘威,林金香,杨晋杰,等.多学科合作的营养干预对肠癌化疗病人营养改善的影响[J].全科护理,2017,15(22):2705-2760.DOI:10.3969/j.issn.1674-4748.2017.22.007.
[21]张蓉,林占峰.认知重建和自我效能增强干预对乳腺癌患者心理状况的影响[J].护理研究,2010,24(2B):405-406.DOI:10.3969/j.issn.1009-6493.2010.05.014.
[22]吉冬丽,潭清和,葛晓霞,等.延续性自我管理教育在晚期癌痛患者健康教育中的应用[J].护理管理杂志,2014,14(1):17-19.
[23]Grimmett C,Haviland J,Winter J,et al.Colorectal Cancer Patient’s Self-efficacy for Managing Illness-related Problems in the First 2 Years after Diagnosis,Results from the Colorectal Well-being(CREW)Study[J].J Cancer Surviv,2017(11):634-642.DOI:10.1007/s11764-017-0636-x.